Certified Medical Coder MAWD Pathology GroupCertified Medical CoderLenexa, KS$50–$60 / hourThe Certified Professional Coder follows all correct coding guidelines, as defined by the centers for Medicare and Medicaid services (CMS), National Correct Coding Initiative (NCCI), all relevant federal and state regulations. Reviews NKC Hospital Pathology/Cytology reports for coding accuracy and sends a spreadsheet reporting any changes to appropriate contacts at North Kansas City Hospital.
Certified Medical Coder Anesthesia Associates of Kansas City PACertified Medical CoderOverland Park, KansasResponsibilities: Ensure diagnosis and procedure codes comply with regulatory requirements and payor guidelines; review medical records, obtain additional information, request clarification and/or amendment to documentation, and enter appropriate codes. AAKC is a privately held medical group that employs physicians, advanced practice professionals, clinical staff, as well as office support staff.
NewHIM Coder - Hospital Coding Services - PRN Stormont-Vail HealthCare IncHIM Coder - Hospital Coding Services - PRNKSReviews medical record documentation for assigning accurate ICD-10-CM diagnosis, procedure and CPT codes and chart abstracting for hospital related services, including "dual" medical coding, also known as Single Path Coding, for various specialties. Selects and assigns appropriate ICD-10-CM diagnosis, procedure and CPT codes utilizing encoding system and application following coding guidelines.
NewClinic Coder - Clinic Coding Services - FT - Day Stormont-Vail HealthCare IncClinic Coder - Clinic Coding Services - FT - DayKSRemoteReviews medical record documentation and assigns accurate ICD-9-CM/ICD-10-CM and CPT codes for services provided by physicians and other qualified healthcare professionals. Selects and enters appropriate ICD-9-CM/ICD-10-CM and CPT codes utilizing encoding system and application of appropriate coding guidelines and resources.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)KS$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Lead HIM Hospital Coder/Auditor (In-Patient - Observation) The University of Kansas Health SystemLead HIM Hospital Coder/Auditor (In-Patient - Observation)MORemoteMaintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM/PCS coding guidelines to inpatient and outpatient diagnoses and procedures. Position Summary / Career Interest: The Health Information Management (HIM) Inpatient/Observation Hospital Coder Auditor/Lead responsibilities include reviewing all diagnosis and procedural coding in ICD-10-CM/PCS for accurate DRG assignment.
Professional Billing Lead Coder (Remote) University Health.Professional Billing Lead Coder (Remote)MORemote5 years comprehensive medical record coding, of high level CPT/HCPCs & ICD-9/10, for multi-specialty Physician's services, including experience in an academic teaching health care organization - candidates with demonstrated abilities/skills at this level without the full years of experience can be considered. Expert level knowledge of Medicare rules and Local Carrier Determination (LCD) and national Correct Coding Initiative (NCCI) edits and proper procedure code sequencing.
NewCoder II (Remote) University HealthCoder II (Remote)Kansas City, MORemoteCoder II (Remote) 101 Truman Medical Center Job LocationWork From Home-City Tax Exempt Lees Summit, Missouri Department Corporate Professional Billing Position Type Full time Work Schedule 7:30AM - 4:00PM Hours Per Week 40 Job Description The coding leads serve as liaisons and leaders between coding staff, the operation, and the Director. 5 years comprehensive medical record coding, of high level CPT/HCPCs & ICD-9/10, for multi-specialty Physician's services, including experience in an academic teaching health care organization - candidates with demonstrated abilities/skills at this level without the full years of experience can be considered.
NewCoder II (Remote) Truman Medical CentersCoder II (Remote)Kansas City, MORemote2 or more coding certifications, i.e. CPC or CPMA, and must maintain active certifications for continued employment* 5 years comprehensive medical record coding, of high level CPT/HCPCs & ICD-9/10, for multi-specialty Physician's services, including experience in an academic teaching health care organization – candidates with demonstrated abilities/skills at this level without the full years of experience can be considered* Demonstrated ability and experience identifying documentation improvement opportunities* Knowledge of insurance company, third-party and government reimbursement programs; i.e. Medicare, Medicaid, MC+, etc.* Knowledge of medical insurance billing and collection* Extensive knowledge with CPT, ICD 9/10 CD, and HCPCS coding and medical terminology in multiple physician practice specialties* Fluency with Medical terminology, anatomy and physiology* Knowledge of medical information systems for physician billing* Demonstrated proficiency in use of computer hardware and software systems, programs and devices.* Professional Billing Lead Coder (Remote) page is loaded## Professional Billing Lead Coder (Remote)locations: Work From Home-City Tax Exempttime type: Full timeposted on: Posted Todayjob requisition id: R0017223**If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.****Please log into to search for positions and apply.**Professional
Coder I Inpatient Saint Luke's Health System IncCoder I InpatientKansas City, MOThe Opportunity: Review medical record documentation of lower acuity inpatients to assign appropriate ICD-10-CM, ICD-10-PCS, and DRG codes for billing, internal and external reporting, research, and regulatory compliance. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care.
Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) U.S. Department of Veterans AffairsMedical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient))Kansas City, MO$62,729–$81,553 / yearGS-9 Experience Requirement: In addition to the basic requirements, you must possess the following: One year of creditable experience equivalent to the journey grade level (GS-8) of a MRT (Coder-Outpatient and Inpatient); OR, An associates degree or higher and three years of experience in clinical documentation improvement (candidates must also have successfully completed coursework in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement; OR, Clinical experience, such as Registered Nurse (RN), Medical Doctor (M.D.), or Doctor of Osteopathy (DO), and one year of experience in clinical documentation improvement. The Medical Records Technician (Clinical Documentation Improvement Specialist) (CDIS) is located within the Health Information Management Section (HIMS) of the Business Operations Service (BOS) at the Kansas City VA Medical Center (KCVAMC).Incumbent provides quantitative and qualitative review and analysis of medical records and encounter forms of both inpatient and outpatient encounters to ensure all diagnoses and conditions for which care is being rendered are documented by the provider in the proper sequence, and procedures have been documented and/or evaluation and management services.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorKS$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
NewClinic Coding Educator - Clinic Coding Services - FT - Day Stormont-Vail HealthCare IncClinic Coding Educator - Clinic Coding Services - FT - DayKSMaintains a working knowledge of CPT-4 and ICD-10 coding principles, governmental regulations, protocols and third party requirements regarding documentation and billing for multiple specialties. Provides ongoing educational sessions as appropriate to providers, clinical and coding staff as appropriate.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMO$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Kansas City, MORemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Clinical Documentation Integrity Specialist - Inpatient The University of Kansas Health SystemClinical Documentation Integrity Specialist - InpatientKSRemoteUtilizes clinical knowledge to identify need to clarify documentation in records, and utilizes strong commination skills with physician, physician extender, case manager, utilization review, nurse or other healthcare professionals, utilizing appropriate tools to capture needed documentation. Responsible for concurrent review of the clinical documentation in the medical records and query of the medical staff and other care givers as necessary via prompters/verbal communication to obtain accurate and complete documentation which appropriately supports the severity of patient illness and risk of mortality.
Provider Reimbursement Manager- Patient Safety Elevance Health IncProvider Reimbursement Manager- Patient SafetyOverland Park, KS$80,940–$134,190 / yearMinimum Requirements: Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)KS$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)KS$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.